Winwood Children's Center

8VAC20-780-580-D Complaint related: No

“Based on multiple staff interviews, when entering and leaving vehicles, children did not enter and leave the vehicle from the curb side of the vehicle or in a protected parking area or driveway. Evidence: Staff interviews revealed that during summer field trips, children are not unloading at the curb or protected parking area. The driver of the bus parks in the general parking lot, the children unload and then walk through the parking lot to the field trip destination.”

8VAC20-780-40-E Complaint related: No

“Based on interview and document review, the operational responsibilities of the licensee did not ensure that the center's activities were maintained in compliance with state standards and the center's own policies and procedures. Evidence: The centers Field Trip Policy states "children must be loaded curbside, one child at a time". Multiple staff interviews revealed that children were being loaded/unloaded in the parking lot, not curbside.”

8VAC20-780-560-C Complaint related: No

“Based on multiple staff interviews, the center did not schedule snacks or meals so that there is a period of at least 1 - 1/2 hours but no more than 3 hours between each meal or snack. Evidence: School aged children were served lunch at 11:00am on days they went to the water park. The next meal was not offered to them until 4:00 - 4:30 once they returned back to the center, resulting in a 5 - 5 1/2 hour period between each meal.”

8VAC20-780-580-C Complaint related: No

“Based on interviews, the center did not ensure that during transportation of children the stated maximum number of passengers in a given vehicle is not exceeded. Evidence: The buses used to transport children are 15 passenger buses. Staff interviews revealed that during multiple summer field trips, the buses exceeded the number of passengers with 14 children and two staff members to total 16 passengers. Staff stated they were instructed to sit with small children so they could fit 3 to a seat.”

8VAC20-780-340-A Complaint related: Yes

“Based on multiple staff interviews and video, when staff were supervising children they did not always ensure their care, protection, and guidance. Evidence: During a carwash at approximately 11:45am: 1) The area was not secured with cones or barriers to prevent cars from entering. 2) Two children were observed running through the parking lot roadway towards another group of children and staff, with no adult escorting them. The staff member in which the two children were heading towards stated they were not aware the children were coming to their group. 3) There was a group of approximately 4 children and 1 staff member standing on the inside sidewalk with carwash signs. One child was observed on the main sidewalk, near the one way sign on route 50, approximately 20 feet away from the group. 4) Staff expressed concerns that they felt the situation was unsafe and did not feel comfortable being near the highway with the children.”

8VAC20-780-270-A

“Based on observation and interview, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1) In Infant 1, there is chipped paint and wood on the windowsill that is indicative of biting. 2) In Infant 2, 2 out of 3 vinyl floor mats are worn and peeling. The mirror with the padded green border has an approximate two inch tear which is exposing the internal foam padding. 3) In Brown Bears, there is chipped paint/drywall in the bathroom around the trashcan. 4) In Busy Bees, there is chipped and peeling paint by the cots. 5) In Brown Bears and Busy Bees, the partition in the bathroom is rusted along the bottom edge. 6) In the outdoor area going to the playground, there is chipped paint and splintering wood around the windows and door frames. There are multiple protruding nails along the wooden fence and gate that could entangle clothing or snag skin.”

8VAC20-780-440-I

“Based on observation, cribs were placed where objects outside the crib such as cords from blinds or curtains were within reach of infants. Evidence: In the Infant 1 classroom, a child was observed sleeping in a crib in front of a window in which the cord from the blinds was within reach.”

8VAC20-780-280-H

“Based on observation, harmful agents were stored in areas that are accessible to children. Evidence: In the School Age classroom, cans of spray paint, in which the manufacturer guidelines indicate "keep out of reach of children", were stored on a child accessible shelf in the children's bathroom.”

8VAC20-780-510-I

“Based on observation and interview, the center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the drugs were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: Child #1 has an EpiPen. The prescription label was removed from the box and was not provided with the medication.”

8VAC20-780-270-A

“Based on observation and interview, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1) In Infant 1, there is chipped paint and wood on the windowsill that is indicative of biting. 2) In Infant 2, 2 out of 3 vinyl floor mats are worn and peeling. The mirror with the padded green border has an approximate two inch tear which is exposing the internal foam padding. 3) In Brown Bears, there is chipped paint/drywall in the bathroom around the trashcan. 4) In Busy Bees, there is chipped and peeling paint by the cots. 5) In Brown Bears and Busy Bees, the partition in the bathroom is rusted along the bottom edge. 6) In the outdoor area going to the playground, there is chipped paint and splintering wood around the windows and door frames. There are multiple protruding nails along the wooden fence and gate that could entangle clothing or snag skin.”

8VAC20-780-440-I

“Based on observation, cribs were placed where objects outside the crib such as cords from blinds or curtains were within reach of infants. Evidence: In the Infant 1 classroom, a child was observed sleeping in a crib in front of a window in which the cord from the blinds was within reach.”

8VAC20-780-280-H

“Based on observation, harmful agents were stored in areas that are accessible to children. Evidence: In the School Age classroom, cans of spray paint, in which the manufacturer guidelines indicate "keep out of reach of children", were stored on a child accessible shelf in the children's bathroom.”

8VAC20-780-510-I

“Based on observation and interview, the center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the drugs were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: Child #1 has an EpiPen. The prescription label was removed from the box and was not provided with the medication.”

8VAC20-780-520-C

“Based on review of children's record 3 diaper creams were observed without having parental authorization. Evidence: 3 diaper creams were observed in the toddler classroom without parental permission for child #1, child #2 and child #3.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Hazardous substances were accessible to children in an unlocked storage closet. 2) Hand sanitizer, disinfectant wipes and disinfectant cleaner (keep out of reach of children) were observed in an unlocked cabinet in the pre-k classroom and swifter wet jet cleaner was observed in the pre-k bathroom. 3) Swifter wet jet cleaner was observed in the Infant 2 classroom bathroom.”

8VAC20-780-130-B

“Based on review of children's records, not all records contained the required updated immunizations. Evidence: 1) Child #2 DOB: 8/23/2022 did not have an updated immunization record available for review. Immunization record in file was dated 10/31/2022.”

8VAC20-780-520-C

“Based on review of children's record 3 diaper creams were observed without having parental authorization. Evidence: 3 diaper creams were observed in the toddler classroom without parental permission for child #1, child #2 and child #3.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Hazardous substances were accessible to children in an unlocked storage closet. 2) Hand sanitizer, disinfectant wipes and disinfectant cleaner (keep out of reach of children) were observed in an unlocked cabinet in the pre-k classroom and swifter wet jet cleaner was observed in the pre-k bathroom. 3) Swifter wet jet cleaner was observed in the Infant 2 classroom bathroom.”

8VAC20-780-130-B

“Based on review of children's records, not all records contained the required updated immunizations. Evidence: 1) Child #2 DOB: 8/23/2022 did not have an updated immunization record available for review. Immunization record in file was dated 10/31/2022.”

22.1-289.035-B-2

“Based on review of contractor records, the center did not ensure the contractor submitted to fingerprinting before the first day of employment. Evidence The dance instructor is an independent contractor and was alone with the children. The contractor does not have documentation of submitting to fingerprinting.”

8VAC20-770-60-C-2

“Based on review of contractor records, the center did not ensure the contractor completed a central registry finding within 30 days of employment. Evidence The dance instructor is an independent contractor and was alone with the children. The contractor did not complete a central registry finding within 30 days of employment.”

8VAC20-780-520-A

“Based on observation over the counter skin products were kept beyond the expiration date of the product. Evidence An expired diaper cream (7/2022) was located in the topical bin in the 2's classroom bathroom.”

22.1-289.035-B-2

“Based on review of contractor records, the center did not ensure the contractor submitted to fingerprinting before the first day of employment. Evidence The dance instructor is an independent contractor and was alone with the children. The contractor does not have documentation of submitting to fingerprinting.”

8VAC20-770-60-C-2

“Based on review of contractor records, the center did not ensure the contractor completed a central registry finding within 30 days of employment. Evidence The dance instructor is an independent contractor and was alone with the children. The contractor did not complete a central registry finding within 30 days of employment.”

8VAC20-780-520-A

“Based on observation over the counter skin products were kept beyond the expiration date of the product. Evidence An expired diaper cream (7/2022) was located in the topical bin in the 2's classroom bathroom.”

8VAC20-780-130-E

“Based on review of children's records, the center did not obtain documentation of additional immunizations once every six month for children under the age of two years. Evidence The immunization record for child #1 (dob 4/8/21) was dated more than six months ago (5/4/22).”

8VAC20-780-80-A

“Based on review of written record of daily attendance, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence The written and electronic record of daily attendance in the Infant room did not match the actual number of infants in the classroom. There were 11 infants present with only 8 infants documented as arrived.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence The door of the closet housing hazardous substances, located in the hallway by the kitchen., making the hazardous substances accessible to the children. A cabinet in the Brown Bears room that contained hazardous substances, has a broken lock, making the hazardous substances accessible to the children.”

8VAC20-780-370-5

“Based on review of documentation of infant daily activities, staff are not recording for infants who cannot turn themselves over and are awake, when they are placed on their stomachs a total of 30 minutes each day to facilitate upper body strength and to address misshapen head concerns. Evidence For infants that cannot turn themselves over and are awake, documentation of them being placed on their stomachs for a total of 30 minutes each day was not available for review.”

8VAC20-780-500-A

“Based on observation, children's hands are not always washed with soap and running water after toileting. Evidence A child was observed not washing their hands after toileting in the Pre K classroom.”

8VAC20-780-550-P

“Based on review of written record of children's serious and minor injuries, 3 out of 5 records did not included all the required information. Evidence Three of the reviewed incident/accident reports did not contain all the required information. Missing included the steps to be taken to prevent reoccurrence and how the parent was notified.”

8VAC20-780-500-B

“Based on discussion with staff, children under the age of 3, who are in the process of toilet training are not being changed on a nonabsorbent surface for diapering or changing. Evidence: Staff #1 confirmed, that children under the age of 2 who are in the process of toilet training are being changed standing up in the bathroom. A nonabsorbent surface is not being used.”

8VAC20-780-370-5

“Based on observation, infants, who cannot turn themselves over and are awake, are not being placed on their stomachs a total of 30 minutes each day. Evidence Review of electronic documentation, 8/25, 8/26, 8/29 and 8/30, for infant #1 (date of birth 6/6/22) daily activities did not list any tummy time.”

8VAC20-780-550-P

“Based on review of written record of children's serious and minor injuries, 3 out of 5 records did not included all the required information. Evidence Three of the reviewed incident/accident reports did not contain all the required information. Missing included the steps to be taken to prevent reoccurrence and how the parent was notified.”

8VAC20-780-500-B

“Based on discussion with staff, children under the age of 3, who are in the process of toilet training are not being changed on a nonabsorbent surface for diapering or changing. Evidence: Staff #1 confirmed, that children under the age of 2 who are in the process of toilet training are being changed standing up in the bathroom. A nonabsorbent surface is not being used.”

8VAC20-780-370-5

“Based on observation, infants, who cannot turn themselves over and are awake, are not being placed on their stomachs a total of 30 minutes each day. Evidence Review of electronic documentation, 8/25, 8/26, 8/29 and 8/30, for infant #1 (date of birth 6/6/22) daily activities did not list any tummy time.”